MR. WADE KENNEDY WILLIS (PT) – Physical Therapist, NPI 1174601363

MR. WADE KENNEDY WILLIS (PT) is a healthcare provider. based in Owasso, Oklahoma. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 3935 (OK). The NPI Number for MR. WADE KENNEDY WILLIS (PT) is 1174601363

Main info

Male
Name
MR. WADE KENNEDY WILLIS (PT)
NPI
1174601363
Phone
(918) 928-4255
Address
7738 N OWASSO EXPWY
Enumeration Date
2 November 2006
Last Update Date
19 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. WADE KENNEDY WILLIS (PT)

  • 7738 N OWASSO EXPWY

    OWASSO, OK 74055

    Phone: (918) 928-4255

    Fax: (918) 928-4258

    Type: Mailing

  • Physical Therapy of Tulsa, 6767, South Yale Avenue, Willow Creek, Tulsa, Tulsa County, Oklahoma, 74136, United States

    SUITE B

    TULSA, OK 741363302

    Phone: (918) 488-9992

    Fax: (918) 488-9993

    Type: Location

  • Riverside Drive, Tulsa, Oklahoma, 74105, United States

    APT. X

    TULSA, OK 741377331

    Phone: (918) 549-0131

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74055)

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Reviews

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Frequently asked questions

How do payers reference MR. WADE KENNEDY WILLIS (PT)?
For MR. WADE KENNEDY WILLIS (PT), use NPI 1174601363 as the unique 10-digit identifier.
Is MR. WADE KENNEDY WILLIS (PT) shown as active in public data?
Registry records indicate MR. WADE KENNEDY WILLIS (PT) maintains an active NPI.
What area of care is associated with MR. WADE KENNEDY WILLIS (PT)?
MR. WADE KENNEDY WILLIS (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. WADE KENNEDY WILLIS (PT)?
Directory geography for MR. WADE KENNEDY WILLIS (PT) centers on Owasso, Oklahoma.
Does MR. WADE KENNEDY WILLIS (PT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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